Virtual Exercise Therapy Demo

Professional Exercise Prescription

Patient id:

Name:

Functional capacity test type:

Functional capacity vo2max:

Functional capacity mets:

Functional capacity minutes:

Functional capacity distance meters:

Duration minutes:

Frequency days per week:

Modality: Walking Jogging Cycling Swimming Rowing Elliptical Stepping Dancing Resistance Training Yoga Other

Target heart rate low:

Target heart rate high:

Target rpe low:

Target rpe high:

Intensity mets low:

Intensity mets high:

Intensity level low:

Intensity level high:

Warmup minutes:

Cooldown minutes:

Cognitive limitations:

Physical limitations: Mild knee pain

Medical limitations: History of CAD

Behavioral limitations:

Professional notes:

Patient instructions:

Safety instructions: Stop exercise for chest pain, severe shortness of breath, dizziness, or worsening symptoms.